We report the case of a neonatal male with alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV). ACD/MPV is a rare, fatal disorder of the development of the alveolar vasculature. In this disorder, alveolar capillaries are reduced in number and are improperly located within the walls of the alveoli impeding oxygen exchange. In addition to alveolar capillary abnormalities, there are other associated abnormalities with the cardiovascular, gastrointestinal tract, and genitourinary systems. In this report, we describe the case of a term male neonate with a prenatal diagnosis of hypoplastic left heart who developed respiratory distress shortly after birth. The patient required prolonged ECMO and underwent evaluation with CT angiography of the chest. CT findings included diffuse bilateral interstitial thickening with enhancing airspace disease scattered in the left lung. The respiratory distress continued to be unresponsive to treatment, with difficulty weaning ECMO and respiratory support. Life support was withdrawn on day 30. Pathologic examination at autopsy demonstrated ACD/MPV. Our case adds to the limited literature available in describing imaging findings of ACD/MPV and support for early diagnosis with lung biopsy as it can prevent aggressive futile interventions. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Singh Jaspreet, Tuburan Smyrna

Keywords: Interstitial Lung Disease, diffuse lung developmental disease

Midgut malrotation can lead to significant morbidity and even mortality if complicated by volvulus or obstruction related to Ladd bands. At our institution, it is routine practice to perform fluoroscopic upper gastrointestinal (UGI) exams to assess for intestinal malrotation prior to gastrostomy tube placement. We sought to determine if it is feasible to assess midgut rotation using any previous MRI exams that include the upper abdomen. We hope to remove the need for upper GI exams in patients with previous MRI exams, thus preventing unnecessary radiation exposure and overutilization of resources, prior to gastrostomy tube placement. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Mcgehee Arianna, Wu Yen-ying, Singh Jaspreet, Mckinney Caleb, Manalo Carlo

Keywords: UGI, third portion of duodenum, SMA-aorta axis